Chordoma of the clivus

Case contributed by Dr Fateme Hosseinabadi

Presentation

Headache

Patient Data

Age: 30 years
Gender: Male
MRI

Huge destructive mass arising from the clivus and extending posteriorly into the prepontine cistern indenting the brainstem and cerebellum.  On midline sagittal plane the tumor shows the thumb sign, then the mass extends to the foramen magnum and spinal canal and parapharyngeal space. The pituitary gland and sella are elevated with the mass separate from it. The C1 vertebral body is involved. Supratentorial hydrocephalus is noted.

Pathology

Histologic findings confirmed a chordoma of the clivus.

Case Discussion

The mass shows characteristic imaging findings of a clival chordoma that pathologically was confirmed.

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Case information

rID: 70095
Published: 1st Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Zahedan medical university

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